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� <br />� <br />INSPECTION REPORT <br />Date:��� Q Permt: � 1�v- ��� <br />Contraclor �J� Y I ��/\c__ `_—_ <br />Owner: <br />Site Address: ,�� 1� �� � J' +�'v ��� <br />TVP[ OFINSPFCTION REOUESTED <br />[LECTRICAL � M1tECHANICAL PLU!.181NG <br />[17emp Sernce ❑ UFER giountl ❑ GroundHO�USIab �i GroundworklSiab <br />� Ground+vorh ❑ Poohng ❑ Rough In [, Rough In <br />[j SIablCondurt �] Foundauon ❑ Cedmg Gnd ❑ Ceiiing Gnd <br />�__ Rough In �] Slruc�ural Slab ❑ OK to msulale �. OK Io insulale <br />❑ Serv�ce n Framing ❑ Rooltop Unds (-1 Water Serv¢e <br />[ Ground�ng ❑ Insulation J Meehaniwl Final [ �leai�al Gas <br />❑ Ced�ng Gnd �] D���all Natling �) Plumbing Final <br />❑ Electrical Final �_1 Shrar NaiLng GAS PIPE <br />SR[ WORK �l Rou� Naihng ❑ Rough INSrrvice Hot lYaler Tank <br />I j FooUng dra�ns Cci'm n '� �' Refrigcrat�on [ Rou9h in <br />❑ Rool drains udding Fin� Gas Pipe Final [j HWT Fiwl <br />OTHER OR CONSUI.TAT�10Y <br />jZ�J�f'�ROVAL Ll PARTI�LAPPHOVAL <br />❑ OK FOR T.0 O L� CORR[CTION REOUESTED <br />� OK FOR C O. ❑ VIOLATION <br />FINAL APPROVAL THIS PE^RMIT <br />IJ <br />Inspeeloc �� Date: �� � �/ /� <br />LIR (d�09) <br />k� �,. r�g � oo.�c x rxn.�n no�t . n:: �en �am <br />